Paroksizmalny tachycardia ad alcolismo hypostasis of lungs — a pathological state which is characterized by perfusion of liquid from pulmonary vessels in interstitsialny space and alveoluses. Is a consequence of an acute heart failure.
At the initial stage of a disease at the patient tachycardia, short wind comes to light. In paroksizmalny tachycardia ad alcolismo of development of pathology from airways foam of paroksizmalny tachycardia ad alcolismo or pinkish color begins to be highlighted.
Symptoms of a hypoxia are defined. The diagnosis is exposed on the basis of a clinical picture and anamnestichesky data.
According to indications cardiotonics, bronchial spasmolytics are applied. It is usually observed at the patients having the cardiological anamnesis.
Arises in the form of a passing complication which manages to be stopped sometimes at a paroksizmalny tachycardia ad alcolismo stage. Regardless of results of first-aid treatment the patient is subject to hospitalization in ORIT.
Occurrence frequency at men is slightly higher, than at women, a ratio — about It is caused by a little later development of atherosclerosis and coronary pathology in female representatives. Cardiogenic OL can be noted at heart failure of any origin, however is more often diagnosed when weakening function of the left ventricle. Violations in work of heart arise at organic changes of body, significant increase in OTsK, under the influence of not cardiogenic factors. Definition of the prime cause — an important diagnostic stage as the scheme of treatment depends on an etiology of a state.
Treat number of diseases at which hypostasis of a warm origin develops:. Cardiogenic pulmonalny hypostasis has two mechanisms of development. At true left ventricular insufficiency there is an easing of sokratitelny ability of the left ventricle. Heart is not able to pump over all blood arriving from pulmonary veins. In the last there is a stagnation, hydrostatic pressure increases. The second pathogenetic mechanism meets at an overhydratation. The left ventricle at the same time works normally, however its volume is insufficient to contain in itself all arriving blood.
Further development of process does not differ from true version LN. Paroksizmalny tachycardia ad alcolismo the first stretching of large pulmonary vessels is observed, active involvement in process faded also capillaries. Further liquid begins to accumulate in interstitsialny space. J-receptors an interstition are irritated, persistent cough develops. At some point connecting tissue of lungs is overflowed with liquid which begins to propotevat in alveoluses.
There is a foaming. About one and a half liters of foam which at cough separates outside through airways are formed of ml of plasma. The attack begins at night more often.
The patient wakes up with feeling of suffocation, accepts the compelled semi-sitting or sitting position with an emphasis hands in a bed. Such position promotes connection of auxiliary muscles and facilitates breath a little. There is cough, feeling of shortage of air, short wind more than 25 breaths a minute. In lungs the dry whistling rattles, breath, distinguishable paroksizmalny tachycardia ad alcolismo distance, rigid are listened.
At survey comes to light. Transition of interstitsialny cardiogenic pulmonary hypostasis to alveolar is characterized by sharp deterioration in a condition of the patient. Rattles become damp, krupnopuzyrchaty, the breath bubbling. At cough pinkish or white foam is emitted.
Skin cyanotic or a marble shade, is covered with a large amount of cold sticky sweat. The concern, psychomotor excitement, fear of death, confusion of consciousness, paroksizmalny tachycardia ad alcolismo is noted. The pulse gap between systolic and diastolic HELL is reduced. Level of pressure depends on pathogenetic option of a disease. At true insufficiency of the left ventricle systolic HELL decreases to indicators less than 90 mm of mercury. Compensatory paroksizmalny tachycardia ad alcolismo higher than beats per minute develops.
The Gipervolemichesky option proceeds with paroksizmalny tachycardia ad alcolismo in arterial pressure, increase in ChSS at the same time remains.
There are squeezing pains behind a breast which can testify to a secondary attack of IBS, a myocardial infarction. Complications are mainly connected with a hypoxia and a giperkapniya. At a long course of disease there is an ischemic defeat of cells of a brain stroke that leads further to intellectual and cognitive frustration, somatic violations. Insufficient content of oxygen in blood becomes the reason of oxygen starvation of internals that quite often comes to an end with partial or complete cessation of their activity.
Myocardium ischemia which can come to the end with development of a heart attack, fibrillation of ventricles, asistoliya is most dangerous. Against the background of cardiogenic hypostasis accession of a secondary infection and developing of pneumonia is sometimes observed.
The preliminary diagnosis is established by an ambulance crew. Differentiation is carried out with hypostasis of lungs paroksizmalny tachycardia ad alcolismo not warm origin.
It is difficult to define an etiology at the first contact with the patient as clinical signs the STAKE and pathologies of other genesis practically do not differ.
Criterion of diagnosis is existence in the anamnesis of a chronic heart disease, arrhythmia. In favor of not warm reason existence of a thyrotoxicosis, an eklampsiyasepsismassive burns, injuries testifies.
In a hospital the list of diagnostic actions extends, the following inspections are shown to the patient:. Therapy at a stage of medical evacuation and in a hospital in general paroksizmalny tachycardia ad alcolismo not differ. Out of MPI some methods of treatment can be ignored due to the lack of technical capability of their realization. The purpose of first aid is elimination of clinical displays of a disease, stabilization of a state, transportation in cardiological resuscitation.
The medical institution makes complete elimination of a pneumonic overhydratation and the reason which caused it. Are among medical techniques:.
Treatment of cardiogenic hypostasis is performed by the paroksizmalny tachycardia ad alcolismo. If necessary to the patient appoint consultations of the cardiologist or the heart surgeonthe therapistthe pulmonologist. Daily make analyses of biochemical composition of blood, define KShchS and electrolytes, markers of sharp coronary pathology, if necessary measure TsVD.
The remote prospects depend on the disease which became the hypostasis reason. In the absence of medical care of the patient with high degree of probability perishes from sharp violation of blood circulation, shock, ischemia of a brain and heart.
Specific preventive actions are absent. It is necessary to perform in due time diagnosis of vascular and heart diseases, to use all existing possibilities of their treatment, to observe the medical and guarding mode recommended by the doctor. Reasons of cardiogenic hypostasis of lungs. Electrocardiography ECG.
Consultation of the cardiologist. Consultation of the therapist. Daily monitoring HELL. Consultation of the pulmonologist. X-ray analysis of lungs. Consultation of the heart surgeon. Artificial ventilation of lungs. Trachea intubation.
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